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General NPI Number Information
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NPI Number | 1396110060
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Entity Type | Organization
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Legal Business Name | CASSANDRA REID LLC
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 34 W 22ND ST
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City | NEW YORK
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State | NY
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Zip | 10010-5805
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Country | US
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Telephone | 917-960-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 225 GARDEN ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-3705
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Country | US
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Telephone | 201-388-0377
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Fax | 917-960-9300
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | CASSANDRA REID
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Credential |
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Telephone | 917-960-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 083038
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License Number State | NY
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